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Blood, 15 October 2006, Vol. 108, No. 8, pp. 2770-2779.
Prepublished online as a Blood First Edition Paper on June 27, 2006; DOI 10.1182/blood-2006-04-014712.
Previous Article | Next Article 
Submitted January 30, 2006
Accepted June 11, 2006
JAK2T875N is a novel activating mutation that
results in myeloproliferative disease with features of
megakaryoblastic leukemia in a murine bone marrow
transplantation model
Thomas Mercher, Gerlinde Wernig, Sandra A Moore, Ross L Levine, Ting-Lei Gu, Stefan Frohling, Dana Cullen, Roberto D Polakiewicz, Olivier A Bernard, Titus J Boggon, Benjamin H Lee, and D G Gilliland*
Division of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
Signalling Technology Inc., Danvers, Massachusetts, USA
Institut National de la Sante et de la Recherche Medical (INSERM) E0210, Universite Paris V, France
Department of Pharmacology, Yale University School of Medicine, New Haven, Connecticut, USA
* Corresponding author; email: ggilliland{at}rics.bwh.harvard.edu.
Acute megakaryoblastic leukemia (AMKL) is a subtype of acute myeloid leukemia associated with a poor prognosis. However, there are relatively few insights into the genetic etiology of AMKL. We developed a screening assay for mutations that cause AMKL, based on the hypothesis that constitutive activation of STAT5 would be a biochemical indicator of mutation in an upstream effector tyrosine kinase. We screened human AMKL cell lines for constitutive STAT5 activation, and then used an approach combining mass spectrometry identification of tyrosine phosphorylated proteins and growth inhibition in the presence of selective small molecule tyrosine kinase inhibitors that would inform DNA sequence analysis of candidate tyrosine kinases. Using this strategy, we identified a new JAK2T875N mutation in the AMKL cell line CHRF-288-11. JAK2T875N is a constitutively activated tyrosine kinase that activates downstream effectors including STAT5 in hematopoietic cells in vitro. In a murine transplant model, JAK2T875N induced a myeloproliferative disease characterized by features of AMKL, including megakaryocytic hyperplasia in the spleen; impaired megakaryocyte polyploidization; and increased reticulin fibrosis of the bone marrow and spleen. These findings provide new insights into pathways and therapeutic targets that contribute to pathogenesis of AMKL.

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